G0101 and Preventative Billing

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CodeCast | Medical Billing and Coding Insights

Terry Fletcher

49 episodes

4 days ago

National Speaker and Healthcare Consultant, Auditor and Educator, Terry Fletcher CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, CMCS, ACS-CA, SCP-CA, knows from over 25 years medical reimbursement industry experience that Coding, Billing and Compliance for physician practices and hospitals can be tough to navigate. Her CodeCast Podcast series will share insights to current rules and regulations the Medicare payer requires, along with Commercial insurance plans' rules and reimbursement challenges. Discover revenue opportunities to maximize reimbursement in your medical practice, focusing on different medical specialties and platforms each episode.

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G0101 and Preventative Billing

CodeCast | Medical Billing and Coding Insights

13 minutes 49 seconds

2 months ago

G0101 and Preventative Billing

Medicare has designated two HCPCS codes for women’s screening services:

* G0101 – Screening pelvic and clinical breast exam
* Q0091 – Collection of a screening Pap smear

These codes are reimbursable every two years, but they’re not considered comprehensive preventive medicine services. In this episode, Terry breaks down how these screenings fit into the broader billing landscape — including whether they can be reported on the same date as:

* Preventive care codes
* Annual Wellness Visits (AWVs)
* Evaluation and Management (E/M) services

If you’ve ever wondered how to navigate these overlapping services without triggering denials or confusion, this one’s for you. Tune in for practical tips and coding clarity.

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